Guillermo Sanchez, MD
Diagnostic Radiology · Wyoming, MINPI 1326012634
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $4,860 of the $6,422 with a category attached, or 75.7%. Amgen accounts for 75.7% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2024 at $5,119 and has fallen 96.2% since, to $194 in 2025. Among diagnostic radiology clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 29 payments — averaging $221.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$5K
- Medtronic$558
- Bard Peripheral Vascular, Inc.$270
- Imperative Care, Inc$193
- Johnson & Johnson$191
- Microvention, Inc.$158
- plus $192 from 3 others
Across 36 payments — averaging $2562.78 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Amgen$51K
- Astrazeneca UK Limited$24K
- Regeneron$16K
- EMD Serono, Inc.$600
- Tesaro, Inc.$60
What the payments were for
- Consulting fees$4,86076%
- Food & beverage$1,56224%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Amgen | 6 | $4,860 |
| Medtronic(3 entities) | 7 | $558 |
| Bard Peripheral Vascular, Inc. | 7 | $270 |
| Imperative Care, Inc | 2 | $193 |
| Johnson & Johnson(2 entities) | 2 | $191 |
| Microvention, Inc. | 2 | $158 |
| Medical Device Business Services, Inc. | 1 | $124 |
| Penumbra, Inc. | 1 | $52 |
| Asahi Intecc USA, Inc. | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- SOLITAIRE X$307
- MAZOR X SYSTEM$148
- Headway Duo Microcatheter$131
- HydroSoft 3D Coil$131
- LVIS$131
- WEB$131
- Sofia$131
- CERTUS 140 MICROWAVE ABLATION SYSTEM$124
- ZOOM 88-T LARGE DISTAL PLATFORM$118
How this compares
$6,422 in reported general payments places this provider in the 95th percentile of 1,184 diagnostic radiology providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other diagnostic radiology in Wyoming
- Matthew TiedeWyoming$256K
- Mark TraillWyoming$62K
- Richard ChesbroughBingham Farms$14.4M
- Shane WellsAnn Arbor$414K
- Peter LittrupDetroit$328K
- Matthew OsherAnn Arbor$111K
- Randy HicksFlint$104K
- Osman TahirMount Clemens$77K
- Mario OrsiniGrand Rapids$59K
- Scott LancasterGrand Rapids$55K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.